R Schüppel1, G Büchele, L Batz, W Koenig. 1. Department of Psychotherapy and Psychosomatic Medicine, University of Ulm Medical Centre, D-89081 Ulm, Germany.
Abstract
OBJECTIVE: To evaluate the effect of patients' sex on selection of pacemakers. DESIGN: Retrospective univariate and multivariate analysis of a large database. SETTING: German central pacemaker register. SUBJECTS: Records collected at the register for 1992 and 1993 (n=31 913), covering 64% of all implantations in Germany. MAIN OUTCOME MEASURE: Probability of receiving a single chamber, dual chamber, or rate responsive pacemaker in relation to sex. RESULTS: Univariate analysis showed that women were more likely to receive single chamber pacemakers and less likely to receive dual chamber or rate responsive systems than men. After demographic and clinical variables were controlled for, women were still more likely to receive a single chamber system (atrial pacing: odds ratio 0.89, 95% confidence interval 0.74 to 1.07; ventricular pacing: 0.85, 0.80 to 0.92) and less likely to receive a dual chamber (1.20, 1.12 to 1.30) or a rate responsive system (1.26, 1.17 to 1.37) than men. CONCLUSIONS: The data suggest sex differences in the selection of a pacemaker system which cannot be explained by the underlying cardiac disorder. Further research is needed to evaluate why guidelines for implanting pacemakers are not better adhered to.
OBJECTIVE: To evaluate the effect of patients' sex on selection of pacemakers. DESIGN: Retrospective univariate and multivariate analysis of a large database. SETTING: German central pacemaker register. SUBJECTS: Records collected at the register for 1992 and 1993 (n=31 913), covering 64% of all implantations in Germany. MAIN OUTCOME MEASURE: Probability of receiving a single chamber, dual chamber, or rate responsive pacemaker in relation to sex. RESULTS: Univariate analysis showed that women were more likely to receive single chamber pacemakers and less likely to receive dual chamber or rate responsive systems than men. After demographic and clinical variables were controlled for, women were still more likely to receive a single chamber system (atrial pacing: odds ratio 0.89, 95% confidence interval 0.74 to 1.07; ventricular pacing: 0.85, 0.80 to 0.92) and less likely to receive a dual chamber (1.20, 1.12 to 1.30) or a rate responsive system (1.26, 1.17 to 1.37) than men. CONCLUSIONS: The data suggest sex differences in the selection of a pacemaker system which cannot be explained by the underlying cardiac disorder. Further research is needed to evaluate why guidelines for implanting pacemakers are not better adhered to.
Entities:
Keywords:
Empirical Approach; Health Care and Public Health
Authors: R M Steingart; M Packer; P Hamm; M E Coglianese; B Gersh; E M Geltman; J Sollano; S Katz; L Moyé; L L Basta Journal: N Engl J Med Date: 1991-07-25 Impact factor: 91.245
Authors: Monica Parry; Harriette G C Van Spall; Kerri-Anne Mullen; Sharon L Mulvagh; Christine Pacheco; Tracey J F Colella; Marie-Annick Clavel; Shahin Jaffer; Heather J A Foulds; Jasmine Grewal; Marsha Hardy; Jennifer A D Price; Anna L E Levinsson; Christine A Gonsalves; Colleen M Norris Journal: CJC Open Date: 2022-04-19
Authors: Martin Riesenhuber; Andreas Spannbauer; Friedrich Rauscha; Herwig Schmidinger; Adelinde Boszotta; Thomas Pezawas; Christoph Schukro; Marianne Gwechenberger; Günter Stix; Anahit Anvari; Thomas Wrba; Cesar Khazen; Martin Andreas; Günther Laufer; Christian Hengstenberg; Mariann Gyöngyösi Journal: Front Cardiovasc Med Date: 2020-09-22